NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is preparing to administer an anticholinergic medication to a client with irritable bowel syndrome. Which of the following findings would require follow-up prior to administering the medication?
Correct Answer: A
Rationale: Anticholinergics can worsen urinary retention, so 650 mL post-void residual (
A) requires follow-up. Macular degeneration (
B), loose stools (
C), and fatigue (
D) are not contraindications.
Question 2 of 5
An adult has been diagnosed with Bell's palsy and asks what causes it. The nurse knows that which of the following is correct?
Correct Answer: B
Rationale: The exact cause of Bell's palsy is unknown, though it may be associated with viral infections or inflammation, but not specifically chickenpox, flu, or trauma.
Question 3 of 5
A client has been on lithium carbonate therapy for 7 days. Which of the following findings would be most important to report to the health care provider?
Correct Answer: A
Rationale: Diarrhea, vomiting, and tremor (
A) suggest lithium toxicity, requiring immediate reporting. Dry mouth (
B) is common, hallucinations (
C) are unrelated, and a lithium level of 1.3 (
D) is within therapeutic range.
Question 4 of 5
The nurse is assessing a 7-year-old client who was recently admitted with nausea, vomiting, severe right lower quadrant pain, and an elevated WBC count. Which of the following statements by the client would be a priority to follow up?
Correct Answer: C
Rationale: Resolution of pain (
C) in suspected appendicitis may indicate perforation, a surgical emergency, requiring urgent follow-up. Fatigue (
A), hunger (
B), and dislike of hospitals (
D) are less critical.
Question 5 of 5
The clinic nurse is caring for a client who had cataract surgery with intraocular lens implantation 2 days ago. Which client report requires priority intervention?
Correct Answer: C
Rationale: Itching in the affected eye (
C) may indicate infection or complications post-cataract surgery, requiring immediate intervention. Blurry vision (
A) is expected initially, constipation (
B) is unrelated, and sleeping elevated (
D) is appropriate.